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WIGWAM. Really hearing what your clients are saying. © Childbirth International 2005 All Rights Reserved. PROBLEM: Define the problem. HER WORDS. HER ACTIONS. I don’t want to be diagnosed with gestational diabetes!. Continues to eat high sugar foods and does not do any exercise.

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WIGWAM

Really hearing what your clients are saying

© Childbirth International 2005 All Rights Reserved


PROBLEM: Define the problem

HER WORDS

HER ACTIONS

I don’t want to be diagnosed with gestational diabetes!

Continues to eat high sugar foods and does not do any exercise

Chooses a doctor with a policy of induction at 39 weeks for VBAC

I really want a VBAC!

Books a hospital where epidurals are routinely offered to all women

I want a drug free labor!

I really want breastfeeding to be successful!

Buys bottles “just in case” and follows nurses advice to express from day 1 to avoid engorgement

© Childbirth International 2005 All Rights Reserved


PROBLEM: Define the problem

PROBLEM:

What client says she wants is different from what she is prepared to do (work)

© Childbirth International 2005 All Rights Reserved


PROBLEM: What she wants is different from what she is prepared to do

PROBLEM: What she wants is different from what she is prepared to do

Women’s

Incentives &

Goals

Women’s

Attitudes &

Motivations

what she is

prepared to do

what she

says she wants

W I G

W A M

TM

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

I want …

nothing

without

my consent

to enjoy

giving birth

to feel supported

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

I want …

to keep my baby safe

nothing

without

my consent

The only focus is the health and wellbeing of the baby

to enjoy

giving birth

to feel supported

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

I want …

to feel supported

nothing

without

my consent

As well as safety, focusing on their own emotional needs

to enjoy

giving birth

to feel supported

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

I want …

to enjoy giving birth

nothing

without

my consent

The experience begins to become significant

to enjoy

giving birth

to feel supported

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

I want …

nothing without my consent

nothing

without

my consent

Wants to be an active participant in decision making

to enjoy

giving birth

to feel supported

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

I want …

my birth, my way!

nothing

without

my consent

Wants an experience where she is in control of decision making entirely

to enjoy

giving birth

to feel supported

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

stand

by my

decision

I will …

nothing

without

my consent

negotiate

& challenge

ask my doctor “why?”

to enjoy

giving birth

ask my doctor

“what?”

to feel supported

trust my doctor to make the best decisions on my behalf

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

stand

by my

decision

I will …

trust my doctor to make decisions on my behalf

nothing

without

my consent

negotiate

& challenge

ask my doctor “why?”

to enjoy

giving birth

Comfortable with doctor making all decisions

ask my doctor

“what?”

to feel supported

trust my doctor to make the best decisions on my behalf

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

stand

by my

decision

I will …

ask my doctor “what?”

nothing

without

my consent

negotiate

& challenge

Wants to know what is happening or what to do next

ask my doctor “why?”

to enjoy

giving birth

ask my doctor

“what?”

to feel supported

trust my doctor to make the best decisions on my behalf

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

stand

by my

decision

I will …

ask my doctor “why?”

nothing

without

my consent

negotiate

& challenge

ask my doctor “why?”

Wants to know why doctor is suggesting certain things

to enjoy

giving birth

ask my doctor

“what?”

to feel supported

trust my doctor to make the best decisions on my behalf

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

stand

by my

decision

I will …

nothing

without

my consent

negotiate

& challenge

negotiate & challenge

Prepared to discuss options and compromise with doctor

ask my doctor “why?”

to enjoy

giving birth

ask my doctor

“what?”

to feel supported

trust my doctor to make the best decisions on my behalf

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

stand

by my

decision

I will …

stand by my decisions

nothing

without

my consent

negotiate

& challenge

Prepared to see doctor’s view but makes final decision

ask my doctor “why?”

to enjoy

giving birth

ask my doctor

“what?”

to feel supported

trust my doctor to make the best decisions on my behalf

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

THE PROBLEM?

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

When what she wants is on a different level…

… to what she is prepared to do (work)

to enjoy

giving birth

trust my doctor to make the best decisions on my behalf

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

She is not in EQUILIBRIUM…

and is unlikely to feel satisfied with her experience!

to enjoy

giving birth

trust my doctor to make the best decisions on my behalf

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

She can either …

to enjoy

giving birth

trust my doctor to make the best decisions on my behalf

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

Readjust Goals

to enjoy

giving birth

trust my doctor to make the best decisions on my behalf

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

Readjust Goals

to feel supported

trust my doctor to make the best decisions on my behalf

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

Readjust Goals

trust my doctor to make the best decisions on my behalf

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

OR

Readjust Goals

to enjoy

giving birth

trust my doctor to make the best decisions on my behalf

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

Readjust Goals

to enjoy

giving birth

Learn Skills

trust my doctor to make the best decisions on my behalf

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

Readjust Goals

to enjoy

giving birth

Learn Skills

ask my doctor

“what?”

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

Readjust Goals

ask my doctor “why?”

to enjoy

giving birth

Learn Skills

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

Readjust Goals

to enjoy

giving birth

trust my doctor to make the best decisions on my behalf

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

Readjusting goals means having realistic expectations of what she can achieve

trust my doctor to make the best decisions on my behalf

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

to enjoy

giving birth

Learn Skills

trust my doctor to make the best decisions on my behalf

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

ask my doctor “why?”

to enjoy

giving birth

Learning skills means being assertive, exploring options and possibly seeking alternative care

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

THE GOAL?

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

To achieve EQUILIBRIUM

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

© Childbirth International 2005 All Rights Reserved


W I GWomen’s Incentives & Goals

W A M

Women’s Attitudes & Motivations

my

birth,

my

way!

stand

by my

decision

nothing

without

my consent

negotiate

& challenge

ask my doctor “why?”

to enjoy

giving birth

ask my doctor

“what?”

to feel supported

trust my doctor to make the best decisions on my behalf

to keep my baby safe

© Childbirth International 2005 All Rights Reserved


PROBLEM: What she wants is different from what she is prepared to do

How WIGWAM helps you

Helps you to identify clients who may not be in equilibrium

Can use for yourself to determine what a client seems to really want

Can use with a client to highlight issues to them and help them identify how they want to approach them

© Childbirth International 2005 All Rights Reserved


PROBLEM: What she wants is different from what she is prepared to do

WIGWAM

There is no right or wrong place to be

Women can move up and down at different times

The aim is for equilibrium, at whatever level the woman is most comfortable with

© Childbirth International 2005 All Rights Reserved


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